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Jeannie Blackburn, ACNP — NPI 1700185378, Webster, TX | NPI Central

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NPI 1700185378

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Jeannie Blackburn, ACNP

NPI 1700185378 · Clinical Nurse Specialist · Webster, TX

Provider details

NPI number: 1700185378
Entity type: Individual
Primary specialty: Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
Credential: ACNP
Sex: Female
Sole proprietor: Yes
License: AP120132 (TX)

Specialties & taxonomies

Clinical Nurse SpecialistPrimary364S00000XLicense AP120132 (TX)
Physician Assistants & Advanced Practice Nursing Providers
Acute Care Clinical Nurse Specialist364SA2100XLicense 665439 (TX)
Physician Assistants & Advanced Practice Nursing Providers
Rehabilitation Clinical Nurse Specialist364SR0400XLicense 665439 (TX)
Physician Assistants & Advanced Practice Nursing Providers

Practice location

500 N Kobayashi Ste C

Webster, TX 77598-4722

Phone: (281) 936-9336

Approximate (ZIP-level) locationGet directions

More TX providers

Mailing address

Po Box 58662

Webster, TX 77598-8662

Additional practice locations (2)

4545 Post Oak Place Dr
Suite 130
Houston, TX 77027-3164
Phone: (713) 960-8008
Fax: (713) 960-0965
600 N Kobayashi Ste 110
Webster, TX 77598-4841
Phone: (281) 338-1701

Registry dates

Enumerated: 2011-03-22
Last updated: 2026-03-13
Certified: 2026-03-13

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.